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One of the out-patient treatment options for clients in Yellowstone National Park who are struggling with opioid dependence and addiction is called opioid maintenance therapy. Licensed clinics and doctors are certified to dispense specific medications to opioid dependent individuals, many of which are opioid-based themselves and are addictive. With low enough doses the individual does not experience high feelings but also does not experience severe cravings and is not in opioid withdrawal. Methadone is the first med administered for this reason, but there are other options to select from.
Methadone is an opiate and can be taken at an out-patient medical center certified to dispense the drug, which is taken on a daily basis in liquid or pill form. The cost of the med is approximately $150 a month. Buprenorphine is also an opioid based med, and is a pill often taken one day on, one day off. But different from Methadone which is only be dispensed in well-regulated medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The cost monthly of buprenorphine is about $300 monthly for the generic of the drug. There is also a type of buprenorphine that contains the ingredient naloxone, that is a drug which reverses the effects of opiates. A person taking this formulation, AKA Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It too is taken daily, and costs around $450 a month. Naltrexone is another drug taken in opioid maintenance therapy, but unlike the other drugs mentioned here it's an opiate blocker and isn't an opiate. A person has the choice to take this medication as a monthly shot, which is called Vivitrol. As an opioid blocker, it prevents an individual from experience being high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 monthly.
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